Fee Schedule–
Effective July 1, 2023
(Subject to change upon notice)
MANAGED CARE
Early Intervention Initial Assessment / Triage .......... $50 / Hour Case Management (TCM/FCM) ……..................... $115 / Hour • PPO Channeling
• 4 PT Contact
• Initial Evaluation
• RTW Plan
• Medical Care Evaluation
• Written/Case Management Action Plan
Utilization Review .............................................. $135 / Referral • Up to 8 items per referral
Physician Advisor .............................................. $285 / Referral • Up to 8 items per referral
• Medical Necessity Determination
• Physician-to-Physician Contact
Specialty Physician Review ................................... $395 / Hour • Specialty match required
• Appeals
STOP (Pharmacy Review)..................................... $325 / Hour • Peer-to-Peer Contact by Physician
• Management of Opioid Use
• Written Treatment Plan / Recommendations
BILL REVIEW
Price bills to State Fee Schedules .................. 15% of Savings PPO Network Access (Anthem) ...................... 26% of Savings • Retrospective Network Capture
• Preferred Vendor Pricing (Ancillary Services)
Minimum Processing Fee ………………………... $13.00 per bill
MPN Access ............................................... $8.00 per MPN bill • Care Concierge™ Medical Access Assistant
• Network Management
• Physician Based Outcome Analytics
Pharmacy Benefit Management ....................... 20% of Savings • Additional $3.00 per prescription administrative fee
Negotiations .................................................... 24% of Savings Negotiated Medical Bill Liens ……………………….. $95 / Hour
• Excludes Travel & Expenses
Complex Bill Review by Physician ................... 24% of Savings eBill Access .................................................... $1.20 per e-bill State Reporting Administrative Fee .................. $1.35 per bill License No. 0451271 www.keenan.com